Kalpana Ravikumar MD Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

A35711 Issued in CA

Legal business name

KALPANA RAVIKUMAR MD INC

Practice address

44215 15TH Street West
Suite 114
Lancaster, CA 93534-5503

Phone

(661) 945-4563

Fax

(661) 945-2344

NPI assigned

Sep 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kalpana Ravikumar, MD

Title

President

Phone

(661) 945-4563

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• A V Pain Medical Clinic Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1750489332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44215 15TH STREET WEST",
            "address_2": "SUITE 114",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935345503",
            "telephone_number": "661-945-4563",
            "fax_number": "661-945-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44215 15TH STREET WEST",
            "address_2": "SUITE 114",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935345503",
            "telephone_number": "661-945-4563",
            "fax_number": "661-945-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALPANA RAVIKUMAR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "RAVIKUMAR",
        "authorized_official_first_name": "KALPANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-945-4563",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A35711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A357110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A V Pain Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaiser Foundation Health Plan Inc
• Kaiser Foundation Health Plan Inc
• Kaiser Foundation Health Plan Inc
• Kaiser Foundation Hospitals
• Aparna Kaleeckal Rajalakshmi, M.B.B.S.
• Caitlyn Marie Kalustian
• Srinivasa Rao Kandru
• Irene Kang, DDS
• Madeline Myunghee Kang
• Sara Kang

• Physical Medicine & Rehabilitation Physician in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.